Neuro M ECT Flashcards

1
Q

4 changes in Major Depressive Disorder

A

Change in mood
Change in circadian rhythm
Change in cognition
Psychomotor retardation or agitation

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2
Q

Antidepressant response vs remission

A

HDRS scale decrease by 50% vs >60%

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3
Q

Vagus Nerve Stimulation FDA approval

A

Intractible epilepsy, NOT depression

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4
Q

Remission rates

ECT
Antidepressants

A

70%

20-30%

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5
Q

Way to flush Benzodiazepines for ECT Tx

A

Flumazenil

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6
Q

ECT side effects

A

Amnesia (both)
Delirium (10%)
Headache (50%)

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7
Q

ECT MOA

A

Neurogenesis

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8
Q

Depression with Anorexia

A

Melancholic

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9
Q

Depression with Anxiety

A

Non-melancholic

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10
Q

Depression worse in morning

A

Melancholic

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11
Q

TMS method of action

A

Stimulate left PFC, induce partial seizure

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12
Q

TMS vs. Anti-Depressants

A

Equal

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13
Q

ECT synergism for schizophrenia

A

Clozapine

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14
Q

ECT goal

A

Grand Mal seizure for at least 20 seconds

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